Effect of Mulligan’s mobilization combined with motor control exercises on pain functional ability and muscle activity in sacroiliac joint dysfunction


  • Sivakumar S.
  • Kamalakannan M.
  • Kalpana A. P.
  • Prakash J.
  • Arun B.




Sacroiliac joint dysfunction, Mulligan’s mobilization, motor control exercises, transverses abdominis, disability


Introduction and Aim: Sacroiliac joint dysfunction accounts 15% to 30% 0f low back ache conditions, If the SIJ is hypomobile, it cannot be effectively absorbed forces causing other body parts may be overstressed causing musculoskeletal dysfunction. This study’s aim is to identify the effect of mulligan’s joint mobilization techniques, motor control exercises and, aerobic exercises on pain functional ability and muscle activity in patients with SI joint dysfunction.


Methodology: Randomized controlled study was done by selecting patients with SI joint dysfunction. 185 participants with low back pain were evaluated and out of them 116 had positive SI joint dysfunction and 95 were selected based on selection criteria.  Computer- assisted randomization was done to divide the participants into three groups. Based on that group I has got 30, group II has 33, and group III has 32. Group I participants underwent Mulligan’s mobilisation for SI joint and followed by motor control exercises, Group II participants underwent motor control exercises and Group III participants underwent Aerobic exercises. All the treatment was given for 45 minutes 5 days per week for 6 weeks of duration. This study uses functional disability, Transverses abdominis muscle endurance, and pain measured using the Oswestry disability index, pressure biofeedback and numerical pain scale respectively.


Results:  On comparing group I and group II, the group I shows a significant improvement in all the outcomes. The ANOVA results show that the p-value is < .00001. The result is significant at p <0.05.


Conclusion: This study concludes that mulligans mobilization with motor control exercises would significantly improve pain, functional disability, and transverses abdominis muscle endurance.

Author Biographies

Sivakumar S.

Saveetha College of Physiotherapy, Saveetha Institute of Medical and Technical Sciences, Chennai, Tamil Nadu, India

KMCH College of Physiotherapy, Coimbatore. Tamil Nadu, India

Kamalakannan M.

Saveetha College of Physiotherapy, Saveetha Institute of Medical and Technical Sciences, Chennai, Tamil Nadu, India

Kalpana A. P.

KMCH College of Physiotherapy, Coimbatore. Tamil Nadu, India

Prakash J.

KMCH College of Physiotherapy, Coimbatore. Tamil Nadu, India

Arun B.

Physiotherapist Grade II, Government District Headquarters Hospital, Erode. Tamil Nadu, India



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How to Cite

S. S, M. K, A. P. K, J. P, B. A. Effect of Mulligan’s mobilization combined with motor control exercises on pain functional ability and muscle activity in sacroiliac joint dysfunction. Biomedicine [Internet]. 2022 Nov. 14 [cited 2022 Nov. 27];42(5):1074-8. Available from: https://biomedicineonline.org/home/article/view/1666



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